Disagreeing with your attending or a physician “with more experience” on your team - what do you do?
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A retired physician (Dr. M, to make things simpler) and I went to one of the camps with a Farsi interpreter & asked people if they needed anything/knew of anyone that was sick and needed help
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Case: 60 yo female who wanted a refill for her Losartan. Her BP today was 194/100. Dr. M got worried & took out 2 boxes of 10mg Amlodipine (each 14 tablets) and handed them to her, without much instructions. At that point, I went ahead and asked the patient a couple more questions. She hadn’t taken her meds for over 2 weeks (she ran out & couldn’t afford them). Otherwise, she was asymptomatic - no headache, change in vision, chest pain, or focal weakness. I tried to discuss with him the difference between hypertensive emergency vs urgency. I told Dr. M that starting a new hypertensive agent like Amlodipine without proper dosing in an asymptomatic patient without follow up could be dangerous (can lead to stroke and other end organ damage) and unnecessary. I argued that this patient would benefit more from a referral to one of the NGO clinics nearby & education on how to get the insurance card (takes 1-2 weeks for refugees here to get a card that lets them get medications at reduced rates). He argued that at pressures like that she will bleed into her brain and die and that he had “lost friends like that”. He gave her two months worth of Amlodipine and some instructions on how to take it and she left
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Any advice on how to approach this kind of situation? Especially in a situation where you don’t have the time or resources to look things up to back up your point of view
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#globalhealth#internationalmedicine#refugees#FOAMed#bloodpressure#EmergencyMedicine#MedStudent#MedicalStudent#MedicalSchool#MedSchool#acep#emra#clerkship

Jin-Ya Huang is an artist, a brand expert, and an in her own words an “accidental” entrepreneur.
From childhood, she watched her parents serve others at their family business, which was a Chinese restaurant. Jin-Ya’s startup, Break Bread Break Borders, was created to honor her mother who brought food and joy to peoples lives. BBBB is a unique catering company made up of newcomers in America and Jin-Ya is empowering the women as they acclimate in this country.
#1mcdal

Wow, My book, Amalia’s Journey, has made it to no 10 in an #Amazon#bestseller chart. Thank you, everyone, for your support. If you’ve not already done so, download your cope now, and perhaps Amalia’s Journey will make it to the no 1 slot. Amalia lived through a terrible era with honour and bravery. An amazing woman, almost forgotten to living memory. #womeninhistory#newbooks#bibliophile

#Repost @bloodcube_org
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“I feel we’ve really let people down. This is clearly one of the greatest challenges of the age, is how to find ways to offer safety and sanctuary to displaced people, who are fleeing for their lives.” – #Bono
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Bono of #U2 is getting involved with Bloodcube along with several others. Artist Marc Quinn’s upcoming piece @bloodcube_org is aimed at raising awareness and funds for the refugee crisis. Visit www.bloodcube.org to learn more. Get Human, Get Involved.
#gethuman#ourblood#sculpture#art#refugees#awareness#fundraising#marcquinn
@marcquinnart

Photo by @kadirvanlohuizen / @noorimages | This weekend, Kadir van Lohuizen is taking over the NOOR instagram.
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“I will be posting images from the archive for the next two weeks, documenting migration in the America’s in 2011. Hopefully this selection will provide insight into the stories that have taken place in and around the border between the United States and Mexico, which is now being solidified by president Donald Trump. Despite the protests and lawsuits filed by sixteen states in the U.S., the building of the multi-billion-dollar wall is still moving forward and was partially completed many years ago already, dividing families and harming wildlife. The wall was built mostly in urban regions, leading migrants to walk into more remote areas, finding places where they could cross. Especially in Arizona this has resulted in many deaths, as people ran out of water in the desert.
Originally these images were part of Via PanAm, my long-term project for which I travelled 40.000 km along the Pan-American Highway, through 15 countries, following and visualizing the stories of communities, regions, and societies. This project was made possible with the gracious support of @nikoneurope.”
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Caption: El Salvador, Quezaltepeque, 2011, This prison was originally built for 400 inmates, although 1200 lived there at the time. Some cells were shared by 400 inmates. Most of them were gang members from 'Mara Salavatrucha' and '18'. Nowadays El Salvador is listed as the country with the most murders per capita in the world.

Las travesías de un migrante venezolano comienzan desde que surge el sentimiento de buscar un mejor futuro, sin importar los riesgos que pudieran atravesar muchos se embarcan en esta aventura de vida, desprovistos de toda fuente de recursos. En mi investigación sobre los inmigrantes venezolanos he percibido, hasta el momento, las consecuencias voraces de una dictadura que ha dejado a millones de familias rotas, con madres despedazadas sin saber ¿Cómo sus hijos podrán sobrevivir? Si a duras penas, salen con una mano adelante y otra atrás. "Hijos de la nada" así se podría titular un buen libro de ciencia ficción pero la realidad es otra. Venezuela está muriendo con cada criatura que sale de sus fronteras, hijos que de la nada, van a una travesía muchas veces sin retorno pues mueren por falta de insumos, frío o desidia. Sólo una parte de lo que contaré hasta el momento.
#mymarbellaochoa#retofepaz#retofepazvenezuela#fepaz#fepazvenezuela#venezuelalibre#vzla#venezuelsaidlive#live#voluntariosxvenezuela#voluntariosporlapaz#venezolanosenelexterior#venezuela#viralizalapaz#paz#libertad#post#newbalance#venezolanosenelmundo#democracia#migrantes#inmigrantes#refugees#enmigrante#venezolanos#gritemosconbrio#dignidad#frases#photooftheday#photographer
The journeys of a Venezuelan migrant begin from the moment that the feeling of seeking a better future arises, regardless of the risks that may come from many embark on this adventure of life, devoid of any source of resources. In my research on Venezuelan immigrants I have seen, up to now, the voracious consequences of a dictatorship that has left millions of families broken, with mothers torn apart without knowing how their children can survive? If barely, they come out with one hand in front and another in the back. "Children of nothing" so you could headline a good science fiction book but the reality is different. Venezuela is dying with every creature that comes from its borders, children who from nothing, go to a journey many times without return because they die due to lack of inputs, cold or laziness. Only part of what I will tell so far.

Mireille Twayigira was about three years old when her father was killed in the 1994 Rwandan genocide, forcing her family to flee the country. Check out our latest post and read about her fascinating story of survival. [link in bio]⠀
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#JRS#JesuitRefugeeServices#refugees @critchleymenorsj

Day 22: of the 28 Day Fundraising Campaign!!
Donate: 22 Dollars
$22 $22 $22 $22 $22 $22 $22 $22
Campaign manager: @kayladole
Organization link: http://give.elic.org/
Fund Code: H794
PayPal: Coming Soon!
Venmo: @MichaelaDole
Cash app: $KaylaDolium
I know this refugees is a topic very dear to the heart of many of you and this is a way to help.
#refugees#cambodia#lebanon

Kažu da jezik najbolje uče oni koji znaju da slušaju. Murwari je komunikativna dvanaestogodišnja djevojčica iz Afganistana i za samo osam mjeseci naučila je bosanski jezik. Kao i svako drugo dijete, sretna je kada je nastavnica pohvali i kada dobije peticu, a to što je u novoj jezičkoj sredini savladala prepreke sa kojima se sureću njeni #zajednickiprijatelji je njena velika pobjeda. Ima puno dnevnih aktivnosti i pomaže u ambulanti i u kuhinji privremenog prihvatnog centra Sedra. Dok sa osmjehom kaže: “Život je težak”, na licu joj se vidi i prihvatanje situacije u kojoj su se našle ona i njena porodica. *** They say that listeners are the best in learning new language. Murwari is a communicative 12 year old from Afghanistan and it took her only 8 months to learn Bosnian language. Like every other child, she is happy when teacher is noticing her willingness to learn and when she gets straight A’s. the fact that she made it in new environment, facing the language barrier that her new #mutualfriends are not facing is a big win for her. She has a lot daily activities, helping in the ambulance and kitchen of the TRC Sedra. While she says: “Life is tough” with the smile on her face, you still can see the full acceptance of the situation she and her family are confronted with.

• Refugee (n)
A person who has been forced to leave their country in order to escape war, persecution, or natural disaster.
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We at The Borderless Citizen aim to create awareness about the refugee situation currently brewing in India. With the amendment in the Citizenship Bill, 2016 as well as the National Register of Citizens of India, it is important for citizens of the country to understand what exactly the political and social situations imply for the future of refugees.
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According to UNHCR statistics, India is currently refuge to 2,09,234 human lives (Feb 2016). There are around 1,10,100 refugees from Tibet, 64,689 from Sri Lanka, 18,900 from Myanmar, and 13,400 from Afghanistan.
#borderless#refugees#RefugeesInIndia

#Repost @bloodcube_org with @get_repost
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“I feel we’ve really let people down. This is clearly one of the greatest challenges of the age, is how to find ways to offer safety and sanctuary to displaced people, who are fleeing for their lives.” – Bono
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Bono of U2 is getting involved with Bloodcube along with several others. Artist Marc Quinn’s upcoming piece @bloodcube_org is aimed at raising awareness and funds for the refugee crisis. Visit www.bloodcube.org to learn more. Get Human, Get Involved. Link in Bio as well.
#gethuman#ourblood#sculpture#art#refugees#awareness#fundraising#marcquinn
@marcquinnart

Who is a refugee?
A refugee is someone who has been forced to flee his or her country because of persecution, war or violence. A refugee has a well-founded fear of persecution for reasons of race, religion, nationality, political opinion or membership in a particular social group. Most likely, they cannot return home or are afraid to do so. War and ethnic, tribal and religious violence are leading causes of refugees fleeing their countries.
Two-thirds of all refugees worldwide come from just five countries: Syria, Afghanistan, South Sudan, Myanmar and Somalia.
@unhcr_arabic
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Lets be a voice for those that have none!
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#unhcr#refugees#nohumanisillegal#humanity#peace#kaukabstore#refugeeswelcome#refugeecrisis#refugeesupport

Even as humanitarian situations continue to rise, surveys have shown that affected communities “do not sufficiently involved in decisions that impact their lives.” We can help change this. Read our story: Guide offers tools on communication, community engagement during disasters, WACC global.org and download a copy of the guide for responders and leaders. Photo of Rohingya refugees in Cox’s Bazar, Bangladesh by Raisa Chowdhury/ICCO Cooperation/ACT Alliance #communication#disasters#rohingya#refugees#causes#nonprofit#humanitarian#communicationrights

Very excited to share that after two months of sales, our cookbook, Displaced Dishes, has raised ELEVEN THOUSAND EUROS for @samosvolunteers. -
€11,000!!!!
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Thank you so much to everyone who has supported the project and bought copies.
A huge thank you to the wonderful people who contributed recipes and made it all possible. -
It’s very good news but we’ve still got plenty of books to sell! So please help spread the word. It’s available to buy online (link in the bio).
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All profits from the sale of the book go to @samosvolunteers and help provide vital services to those living in the refugee camp on Samos Island.
Thank you!!!